Individual provider Active NPI

Ellen Barbara Lucas, PH.D.

  • Counseling Psychologist
  • Muncie, IN
National Provider Identifier
1326076084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
20040571 Issued in IN
Practice address
707 W University Ave
Muncie, IN 47303-3865
Phone
(765) 254-9343
NPI assigned
Jun 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 20040571 IN Primary

Addresses

Primary practice location

707 W University Ave
Muncie, IN 47303-3865

Mailing address

PO Box 444
Muncie, IN 47308-0444
Phone (765) 254-9343

Other identifiers 1

IdentifierTypeStateIssuer
20040572OtherINLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130122000211 IN Practitioner - Clinical Psychologist 7911150180 Reassigns benefits to 1 organization
I20250423001906 SC Practitioner - Clinical Psychologist 7911150180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4900 N Wheeling Ave
Suite 1
Muncie, IN 47304-7001
Phone (765) 254-9343

9002 Palmetto Dr
Apt 519
Isle of Palms, SC 29451-2871
Phone (765) 717-0806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20040571INMDCounseling Psychologist
1812SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ellen Lucas PH.D. P.C. Counseling CurrentSince May 24, 2012 Accepting new patients

Locations

4900 N Wheeling Ave
Ste 1
Muncie, IN 47304
Phone (765) 254-9343

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326076084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473080444",
            "telephone_number": "765-254-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W UNIVERSITY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033865",
            "telephone_number": "765-254-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "ELLEN",
        "middle_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20040571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "20040572",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.